DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1255600656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255600656 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION |
| Practice Address |
860 Fourth St 2nd Floor-oahu Central Fgc Pearl City HI 96782-3312 |
| Mailing Address |
3627 Kilauea Ave Room 101-attn: Phao Honolulu HI 96816-2317 |
| Practice Telephone | 8084535900 |
| Practice Fax Number | 8084535940 |
| Mailing Telephone | 8087334198 |
| Mailing Fax Number | 8087338375 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | DR. M. STANTON MICHELS (ADMINISTRATOR) |
| Authorized Official Telephone | 8087339339 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932477999 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 | 2011-12-06 |
| 1255609202 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 | 2011-12-06 |
| 1942577739 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628 | 2011-11-21 |
| 1235406208 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 3-3204 Kuhio Hwy, Room 104-kauai Fgc, Lihue, HI 96766-1135 | 2011-11-18 |
| 1700153772 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 | 2011-11-18 |
| 1871860841 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 1830 Honoapiilani Hwy, Maui-fgc-lahaina, Lahaina, HI 96761-1856 | 2011-11-18 |
| 1164791562 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 45-691 Keaahala Rd, Oahu Central Fgc-kaneohe, Kaneohe, HI 96744-3569 | 2011-12-14 |
| 1437428836 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317 | 2011-12-14 |
| 1184992158 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 65 Makaena St, Maui-fgc-molokai, Kaunakakai, HI 96748 | 2011-12-06 |
| 1518234582 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 88 Kanoelehua Ave, Suite A-204: Hawaii Fgc-hilo, Hilo, HI 96720-4670 | 2011-11-18 |
| Street Address |
860 FOURTH ST 2ND FLOOR-OAHU CENTRAL FGC |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575801 | Carol E Minn | Psychiatry & Neurology | 860 Fourth St, Pearl City, HI 96782-3312 | 2006-12-19 |
| 1144561895 | Jere Yun | Speech-Language Pathologist | 860 Fourth St, Rm. 150, Pearl City, HI 96782-3312 | 2013-03-05 |
| 1104165422 | Marissa Ramos-de Smet | Physical Therapist | 860 Fourth St, Rm. 150, Pearl City, HI 96782-3312 | 2013-02-06 |
| 1992054837 | Donnette Paishon | Occupational Therapist | 860 Fourth St, Room 150, Pearl City, HI 96782-3312 | 2012-09-06 |
| 1245505494 | Elsie Kimiko Tarumoto | Speech-Language Pathologist | 860 Fourth St, Room 150, Pearl City, HI 96782-3312 | 2012-03-20 |
| 1255601571 | Nora L Viernes | Licensed Practical Nurse | 860 Fourth St, Pearl City, HI 96782-3312 | 2012-01-03 |
| 1821367723 | Leeward Early Childhood Services Program | Early Intervention Provider Agency | 860 Fourth St, Room #150, Pearl City, HI 96782-3312 | 2011-12-21 |
| 1770727687 | Dawn Pang | Psychologist | 860 Fourth St, Pearl City, HI 96782-3312 | 2009-04-22 |
| 1366688848 | Vicki Leigh Taylor | Counselor | 860 Fourth St, Pearl City, HI 96782-3312 | 2009-01-05 |
| 1144481706 | Claudine E Smorse | Social Worker | 860 Fourth St, Pearl City, HI 96782-3312 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538438544 | Preferred Home & Community Based Services, Inc. | Community/Behavioral Health | 97-719 Kamehameha Highway, Suite B101, Pearl City, HI 96782-0000 | 2011-12-20 |
| 1013402361 | Hawaii Community Counseling Services | Community/Behavioral Health | 98-1238 Kaahumanu St Ste 302, Pearl City, HI 96782-3250 | 2018-06-28 |
| 1376726901 | State of Hawaii Department of Health | Community/Behavioral Health | 860 Fourth St, Pearl City, HI 96782-3312 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
| 1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
Please comment or provide details below to improve the information on DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.